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SOUTH JORDAN VA CLINIC
NPI 1619113115
Clinic/Center - VA in South Jordan, UT

Active since January 05, 2009
5119 WEST DAYBREAK PARKWAY, SOUTH JORDAN, UT 84009(913) 578-4409 Get Directions Write a Review

NPPES record last updated: July 30, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 30, 2021, Jan 17, 2018, Mar 1, 2017 (3 updates tracked since 2017).

About South Jordan Va Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTH JORDAN VA CLINIC (NPI 1619113115) is a healthcare organization registered as a va in South Jordan, Utah and active in the NPI registry since January 2009. The organization lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1619113115
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameSALT LAKE CITY VAMC
Location Address5119 WEST DAYBREAK PARKWAYSouth Jordan, UT 84009-9998
Mailing AddressPo Box 94463Cleveland, OH 44101-4463 · (913) 578-4409
Phone(913) 578-4409
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateJanuary 5, 2009
Last NPPES UpdateJuly 30, 20213 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2020
✔ NPI 1619113115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
5119 WEST DAYBREAK PARKWAY, South Jordan, UT 84009
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Other Names 1

Other NameSouth Jordan Va Clinic

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salt Lake City Vamc's NPI number?

The NPI number for Salt Lake City Vamc is 1619113115. It was assigned to this organization in the NPPES registry on January 5, 2009. The provider is also known as South Jordan VA Clinic.

Where is Salt Lake City Vamc located?

Salt Lake City Vamc is located at 5119 West Daybreak Parkway, South Jordan, UT 84009. The listed phone number is (913) 578-4409.

What is Salt Lake City Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

When was this NPI record last updated?

The NPPES record for Salt Lake City Vamc was last updated on July 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.